Child's Name * First Name Last Name Date of Birth * MM DD YYYY Place of Birth * Eye Color * Hair Color * Height * Weight * Identifying Marks * Primary Language * Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Home Phone * (###) ### #### Mother's Name * First Name Last Name Mother's Cell Phone * (###) ### #### Mother's Email * Mother's Company Name and Occupation * Mother's Work Number (###) ### #### Father's Name * First Name Last Name Father's Cell Phone * (###) ### #### Father's Email * Father's Company Name and Occupation * Father's Work Number * (###) ### #### Names of siblings including Sex, DOB, Grade and School * Why do you wish to send your child to a Montessori School? * Do you have any friends with children in a Montessori School? If so, who? * Do you have any special problems with this child? * Is this child dependent or independent? * Dependent Independent Please support the previous statement with examples: * Does this child play well with other children? Please elaborate: * Has this chuld had experience in playgroups? * Is this child toilet trained? * Yes No Does this child nap? * Yes No Please give specific examples of how you discipline your child: * Please give specific ground rules to which this child must adhere at home: * Have you read anything about or by Dr. Maria Montessori? * Suggested reading: "Maria Montessori, Her Life and Work" by E. Mortimer Standing; "The Secret of Childhood" by Maria Montessori; and "The Absorbent Mind" by Maria Montessori Yes No Thank you for submitting your Application Form. Our office will be in touch.
